Parameters of Training, Academic Involvement, and Practice Setting Predictive of Retention in Combined Medical–Psychiatric Practice

Abstract

Objective

The authors contrasted physicians trained in both psychiatry and another specialty who continue to practice both specialties vs. those who practice only psychiatry, in terms of their training, academic profile, and practice setting.

Method

The authors analyzed survey responses from 132 doubly boarded physicians who vary in whether or not they continue to practice both specialties. Group results were compared using chi square, Fisher exact, and t tests.

Results

Of graduates of double-board programs, 79.2 % continue in dual practice. Other factors associated with continued combined practice were training in neurology–psychiatry, greater academic involvement, high motivation, practice in a non-public hospital setting, and demonstrated leadership capacity.

Conclusion

Double-board training programs have been successful in producing a group of clinicians committed to long-term combined medical–psychiatric practice, but this effect is stronger in psychiatry–neurology than in other types of combined practice. Future research should investigate other practice parameters that foster or impede integrated medical–psychiatric care.